Dr Nidah Talal Khan, MD is a medicare enrolled "Internal Medicine" physician in East Long Meadow, Massachusetts. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Personal Primary Care And Weight Management, Llc and her current practice location is
98 Shaker Road, East Long Meadow, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(413) 798-0301.
Dr Nidah Talal Khan is licensed to practice in Massachusetts (license number 257058) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629418850.
Physician's Profile
Full Name | Dr Nidah Talal Khan |
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Gender | Female |
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Speciality | Internal Medicine |
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Experience | 21 Years |
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Location | 98 Shaker Road, East Long Meadow, Massachusetts |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Nidah Talal Khan graduated from medical school in 2003
NPI Data:
- NPI Number: 1629418850
- Provider Enumeration Date: 07/02/2013
- Last Update Date: 06/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 7012299324
- Enrollment ID: I20170123000302
Medical Identifiers
Medical identifiers for Dr Nidah Talal Khan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629418850 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 257058 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Personal Primary Care And Weight Management, Llc | 3577821875 | 6 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nidah Talal Khan allows following entities to bill medicare on her behalf.
Entity Name | Personal Primary Care And Weight Management, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376068817 PECOS PAC ID: 3577821875 Enrollment ID: O20171214000991 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nidah Talal Khan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Nidah Talal Khan, MD 299 Carew St. Ste 234, Springfield, MA 01104 Ph: (413) 787-2575 | Dr Nidah Talal Khan, MD 98 Shaker Road, East Long Meadow, MA 01028 Ph: (413) 798-0301 |
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